دورية أكاديمية
Ulnohumeral Cross-Pinning in the Management of Traumatic Elbow Instability.
| العنوان: | Ulnohumeral Cross-Pinning in the Management of Traumatic Elbow Instability. |
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| المؤلفون: | Brule N; Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Scranton, PA., Ozdag Y; Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Scranton, PA., Koshinski JL; Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Scranton, PA., Luciani AM; Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Scranton, PA., Grandizio LC; Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Scranton, PA. Electronic address: chris.grandizio@gmail.com. |
| المصدر: | The Journal of hand surgery [J Hand Surg Am] 2024 Jul 10. Date of Electronic Publication: 2024 Jul 10. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 7609631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-6564 (Electronic) Linking ISSN: 03635023 NLM ISO Abbreviation: J Hand Surg Am Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York : Elsevier Original Publication: St. Louis, Mosby. |
| مستخلص: | Purpose: Traumatic elbow instability (subluxation and dislocation) represents a challenging clinical entity that can be complicated by persistent intraoperative instability after attempted stabilization or recurrent postoperative instability. Both static and dynamic supplemental stabilization procedures have been described for cases where fracture fixation and ligament repair fail to restore stability. There is a paucity of prior studies involving ulnohumeral cross-pinning (UCP), which is a type of static supplemental stabilization. Our purpose was to assess complications and outcomes after UCP. Methods: We reviewed all surgical cases involving primary and revision UCP for traumatic elbow instability at a single center from 2017-2023. Baseline demographics were recorded. Outcomes including radiographs, range of motion, patient-reported outcome measures, and surgical complications were analyzed. Results: Fourteen patients undergoing UCP were included with a mean follow-up of 27 months. Five cross-pinnings (36%) were performed during revision procedures. Mean visual analog scale (VAS) pain, Disabilities of the Arm, Shoulder, and Hand (QuickDASH), and the Single Assessment Numeric Evaluation (SANE) scores were 2.4, 34, and 69, respectively. The mean flexion-extension and pronation-supination arcs were 114° and 140°, with 85% achieving at least a 100° arc for flexion and forearm rotation. Five patients (36%) had complications, all of which required reoperation. Two complications involved postoperative instability: one radial head subluxation and one radial head dislocation. Both occurred in revision UCP cases indicated for recurrent postoperative instability. Conclusions: Ulnohumeral cross-pinning for persistent and recurrent elbow instability results in maintained ulnohumeral joint alignment, functional arcs of elbow range of motion, and acceptable patient-reported outcome measures, particularly in the setting of a primary procedure indicated for persistent intraoperative instability. Ulnohumeral cross-pinning is a reasonable supplemental stabilization procedure for complex elbow instability. Type of Study/level of Evidence: Therapeutic IV. Competing Interests: Conflicts of Interest No benefits in any form have been received or will be received related directly to this article. (Copyright © 2024 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Elbow dislocation; elbow instability; elbow surgery; elbow trauma; ulnohumeral cross-pinning |
| تواريخ الأحداث: | Date Created: 20240713 Latest Revision: 20240713 |
| رمز التحديث: | 20240714 |
| DOI: | 10.1016/j.jhsa.2024.06.003 |
| PMID: | 39001767 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1531-6564 |
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| DOI: | 10.1016/j.jhsa.2024.06.003 |